Evidence map›Paper›PMID 41769822›Full record

ArticleInterdisciplinary cardiovascular and thoracic surgery2026

In Vitro Hydrodynamic Evaluation of Pulmonary Expanded Polytetrafluoroethylene Valved Conduits.

Shunsuke Matsushima, Mutsuki Noda, Sara Kubo, Hironaga Shiraki, Hironori Matsuhisa, Kenji Okada, Osamu Kawanami

Abstract read
In one paragraph

Article in Interdisciplinary cardiovascular and thoracic surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Reply to Hinpetch Daungsupawong et al.Interdisciplinary cardiovascular and thoracic surgery · 2026
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors.

Shunsuke MatsushimaDepartment of Cardiovascular Surgery, Kobe Children's Hospital, Kobe 650-0047, Japan.ORCID 0000-0002-9415-5788
Mutsuki NodaDepartment of Mechanical Engineering, University of Hyogo, Himeji 671-2280, Japan.
Sara KuboDepartment of Cardiovascular Surgery, Kobe Children's Hospital, Kobe 650-0047, Japan.ORCID 0000-0001-7935-2129
Hironaga ShirakiDivision of Cardiovascular Surgery, Department of Surgery, Kobe University Graduate School of Medicine, Kobe 650-0017, Japan.
Hironori MatsuhisaDepartment of Cardiovascular Surgery, Kobe Children's Hospital, Kobe 650-0047, Japan.ORCID 0000-0003-3242-3545
Kenji OkadaDivision of Cardiovascular Surgery, Department of Surgery, Kobe University Graduate School of Medicine, Kobe 650-0017, Japan.ORCID 0000-0001-9736-7818
Osamu KawanamiDepartment of Mechanical Engineering, University of Hyogo, Himeji 671-2280, Japan.

Funding

JSPS KAKENHI 24K19416Kawano Masanori Memorial Public Interest Incorporated Foundation for Promotion of Pediatrics 36-WAKA24Nakatani Foundation 2022S115
6 · The paper itself

Abstract

objectivesVarious designs are proposed for pulmonary expanded polytetrafluoroethylene (ePTFE) conduits and have been applied in clinical practice. However, experimental data to support them are limited. We conducted an in vitro experiment using a circulatory simulator to evaluate their haemodynamic performance and hydrodynamic characteristics.

methodsThree root models with a 24-mm basal ring (A, straight; B, with small sinuses; C, with large sinuses) were 3D-printed. Cusps were uniformly cut out from a 0.1-mm-thick ePTFE membrane and sewn to the inter wall of the models. Model A had a single suture on the free margins near the commissures. Each model was tested with a pump size of 70 mL, 70 beats/min, and arterial pressure of 30/10 mmHg. The valve behaviour was recorded by a high-speed camera, and particle image velocimetry (PIV) was performed in the region behind the model housing section.

resultsPeak transvalvular pressure gradients were 4.0, 4.8, and 4.3 mmHg (P = .95), and geometric orifice areas were 2.34, 2.38, and 2.46 cm2 (P = .96) in models A, B, and C, respectively. Particle image velocimetry revealed peak instantaneous velocity was 1.69, 1.69, and 1.65 m/s (P = .74) and peak Reynolds shear stress in the midsystolic phase was 56.8, 49.5, and 25.5 Pa (P = .05) in models A, B, and C, respectively. Model C tended to have a lower distribution of turbulent flow than the other models.

conclusionsAll models exhibited sufficient opening and acceptable Reynolds shear stress values. The sinus contributed to the suppression of turbulent flow, which may lead to an improvement of conduit durability, but its effect was dependent on the sinus size.

Indexed as

Heart Valve ProsthesisHeart Valve Prosthesis ImplantationHemodynamicsPolytetrafluoroethylenePulmonary ValveHumansHydrodynamicsMaterials TestingModels, AnatomicModels, CardiovascularPrinting, Three-DimensionalProsthesis DesignStress, MechanicalPolytetrafluoroethyleneexpanded polytetrafluoroethylene conduitflow visualizationhandmade valvein vitro experimentparticle image velocimetrypulmonary valve replacementright ventricular outflow tract reconstruction

Identifiers

PMID41769822
PMCPMC13098163

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.